CIVISTA CLINICAL SERVICES, LLC

LA PLATA, MD
NPI1710247440
Doing Business AsLA PLATA SURGICAL CARE
Entity TypeOrganization
Authorized ContactSTEPHANIE SIMM
Physician Relations Specialist
301-609-4539
Organization Subpart ?Yes
Primary Taxonomy208600000X Surgery
Additional Taxonomies207Y00000X Otolaryngology
2086S0129X Surgery, Vascular Surgery
Enumeration Date2012-05-29
Last Update Date2014-06-12
Business Address
CIVISTA CLINICAL SERVICES, LLC
500 CHARLES ST
LA PLATA, MD 20646-5931
Phone number: 301-609-4539
Mailing Address
CIVISTA CLINICAL SERVICES, LLC
75 REMITTANCE DR DEPT 6554
CHICAGO, IL 60675-6554
Phone number: 301-609-4539